Organization
CHRISTIAN COUNSELING CENTER OF ANNAPOLIS, INC.
Active
Organization
CHRISTIAN COUNSELING CENTER OF ANNAPOLIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SABRINA ANN MACKALL (CREDENTIALING SEPCIALIST)
(410) 266-8345
Entity
Organization
Contact information
Practice address
108 OLD SOLOMONS ISLAND RD, U-7, ANNAPOLIS, MD 21401-3845
(410) 266-8345
(410) 266-6278
Mailing address
108 OLD SOLOMONS ISLAND RD, U-7, ANNAPOLIS, MD 21401-3845
(410) 266-8345
(410) 266-6278
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522901400
—
MD
Enumeration date
07/30/2006
Last updated
09/05/2013
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